| NPI | 1619102548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HARGROVE Office Manager 615-563-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7536) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-11-04 |